Individual
PRIYESHA MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1260 MILTON AVE STE 140, JANESVILLE, WI 53545-1890
(608) 757-0057
Mailing address
108 PARK PL, MC KEES ROCKS, PA 15136-1686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001863-15
WI
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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